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Organization
THOMAS J. HARMON D.D.S.
Active
Organization
THOMAS J. HARMON D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J HARMON D.D.S. (OWNER)
(616) 949-2650
Entity
Organization
Contact information
Practice address
3575 LAKE EASTBROOK BLVD SE, GRAND RAPIDS, MI 49546-5934
(616) 949-2650
(616) 222-0747
Mailing address
3575 LAKE EASTBROOK BLVD SE, GRAND RAPIDS, MI 49546-5934
(616) 949-2650
(616) 222-0747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4055750
—
MI
Enumeration date
07/24/2012
Last updated
08/07/2012
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